DENTIST
NPI 1588030480
Dentist - Prosthodontics in Fremont, CA

Q: What is Dentist's NPI number?

The NPI number for Dentist is 1588030480. It was assigned to this organization in the NPPES registry on August 13, 2015.

Q: What is Dentist's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Q: When was this NPI record last updated?

The NPPES record for Dentist was last updated on August 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 13, 2015

39038 SUTTER DR, FREMONT, CA 94538(510) 709-7181 Get Directions Write a Review

NPPES record last updated: August 13, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dentist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENTIST (NPI 1588030480) is a healthcare organization registered as a prosthodontics in Fremont, California and active in the NPI registry since August 2015. The organization lists Amy Au, Dentist, as its authorized official.

NPPES Registry Identity

NPI1588030480

Entity TypeOrganization

Primary Taxonomy1223P0700X

Legal Business NameDENTIST

Location Address39038 SUTTER DRFremont, CA 94538-1141

Mailing Address39038 Sutter DrFremont, CA 94538-1141

Phone(510) 709-7181

Organization SubpartNo

Authorized OfficialAmy AuDentist · (510) 709-7181

Enumeration DateAugust 13, 2015

✔ NPI 1588030480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

License✔ Licensed in CA · 61629

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

39038 SUTTER DR, Fremont, CA 94538

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dentist's NPI number?

The NPI number for Dentist is 1588030480. It was assigned to this organization in the NPPES registry on August 13, 2015.

Where is Dentist located?

Dentist is located at 39038 Sutter Dr, Fremont, CA 94538. The listed phone number is (510) 709-7181.

What is Dentist's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Dentist was last updated on August 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.